Comparison of the disinfection effects of different skin disinfectants on central venous catheter in immune-deficient patients
10.3760/cma.j.issn.1672-7088.2020.08.004
- VernacularTitle:不同皮肤消毒剂对层流室造血干细胞移植患者中心静脉导管消毒效果比较
- Author:
Wei HU
1
;
Xiujuan GUO
;
Yan SONG
;
Xiaodong XU
;
Ting WANG
;
Yanchao CAO
;
Xia YAN
Author Information
1. 北京大学人民医院血液科 北京大学血液病研究所 国家血液系统疾病临床医学研究中心 造血干细胞移植北京市重点实验室 100044
- From:
Chinese Journal of Practical Nursing
2020;36(8):579-582
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effect of the 2% chlorhexidinegluconate disinfectant and 0.5% iodophor disinfectant on the maintenance of central venous catheter (CVC) in patients with immunodeficiency.Methods:The patients were randomly divided into two groups. 2% chlorhexidinegluconate disinfectant was used in the experimental group, and 0.5% iodophor disinfectant was used in the control group. The CVC was sterilized once a week and continuously maintained for 3 weeks. According to the condition of catheter, the dressing was changed in time in case of any problem,and the reason and time for the catheter nursing care were recorded. The duration of changing the catheter dressing in different disinfectant, incidence rate of dressings looseness and incidence of catheter-related infections in two groups were analyzed.Results:The duration of skin drying and duration of caring in the experimental group were (0.62±0.10)min, (11.67±0.33) min, significantly shorter than the control group [(1.97±0.18) min, (14.48±0.33) min]( t values were 63.044, 57.296, P<0.01).In term of the adverse effects on CVC,there were no statistical differences between two groups ( P> 0.05). Conclusions:Both 2% chlorhexidinegluconate and 0.5% iodophor disinfectant have similar disinfection effect on CVC caring, but 2% chlorhexidinegluconate disinfection is more efficient and worthy of application in clinical settings.